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Management of pediatric open tibia fractures with supracutaneous locked plates

Radhakrishna, Veerappa, N.; Madhuri, Vrisha

Journal of Pediatric Orthopaedics B: January 2018 - Volume 27 - Issue 1 - p 13–16
doi: 10.1097/BPB.0000000000000425

We evaluated the novel application of supracutaneous locked plates in pediatric open tibia fractures. Pediatric open tibia fractures stabilized with a locked supracutaneous plate from January 2011 to December 2014 were reviewed. Twenty-eight children, mean age 8.9 years, with 29 open tibia fractures were included. Nine of these children who had metaphyseal or metadiaphyseal fractures did not require joint spanning. The mean follow-up duration was 13.5 months. The mean time to uneventful union was 11.46 weeks, with no unacceptable malunion. Supracutaneous locked plates showed early union and no refractures. They could favorably replace tubular external fixators in stabilizing pediatric open tibia fractures.

Department of Orthopaedics, Pediatric Orthopaedic Unit, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence to Vrisha Madhuri, D Orth, MS Orth, MCh Orth (L’Pool), Pediatric Orthopaedic Unit, Paul Brand Building, Christian Medical College, Ida Scudder Road, Vellore, Tamil Nadu 632004, India Tel: +91 416 228 2172; fax: +91 416 223 2305; e-mails:;

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